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BMO SPDR Health Care Select Sector Index ETF (ZXLV) and Brompton Global Healthcare Income & Growth ETF (HIG) offer distinct profiles for Canadian ETF investors. A direct comparison shows that ZXLV focuses its top 3 sector exposures on Health Care, while HIG leans towards Health Care and Consumer Discretionary. When evaluating costs, ZXLV features a management fee (MER) of 0.21%, compared to 0.75% for HIG. Performance-wise, ZXLV has returned 1.57% year-to-date with +$7 M in net flows, whereas HIG is at 6.2% with +$8 M. Use the comparison tool below to benchmark these funds across top 10 holdings, yield, sector weights and historical returns.
NAV Performance and Flows
Key Data
Compare
ZXLV
HIG
| AuM | $21.27 M | $62.58 M |
| Management Fees | 0.21% | 0.75% |
| Exp. ratio | 0.21% | 0.96% |
| Tracking Difference | - | - |
Historical performance and flows
As of June 10, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | ZXLV | +9.94% | +3.95% | +1.57% | +17.59% | - |
HIG | +4.08% | -6.76% | -6.20% | +3.35% | +6.17% | |
| Flows | ZXLV | +$4 M | +$4 M | +$7 M | +$19 M | - |
HIG | +$1 M | +$4 M | +$8 M | +$13 M | +$16 M |
ZXLV vs HIG exposure
Countries
ZXLV
USA
97.39%
HIG
USA
77.90%
Other
16.60%
Sectors
ZXLV
Health Care
98.41%
HIG
Health Care
77.20%
Other
20.60%
As of June 10, 2026
Top 10 Holdings
ZXLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
HIG
JOHNSON&JOHNSON
6.70%
LILLY
5.20%
GILEAD SCIENCES
5.20%
CARDINAL HEALTH
4.80%
HCA HEALTHCARE
4.80%
BRISTOL-MYERS SQUIBB
4.80%
MCKESSON
4.40%
VERTEX PHARMACEUTICALS
4.10%
AMGEN-T
4.00%
INTUITIVE SURGICAL
4.00%
Diversification
ZXLV
Total weight of top 10 holdings out of 58 total
59.41%
HIG
Total weight of top 10 holdings out of 21 total
48.00%
Characteristics
Compare
ZXLV
HIG
| Provider | BMO | Brompton Group |
| Management | Passively managed | Actively managed |
| Benchmark | S&P Health Care Select Sector Total Return Index - USD | - |
| Replication Method | ||
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 0.49% | 9.21% |
| Meets ESG criteria | No | No |
| Inception Date | February 2, 2025 | September 24, 2015 |
Frequently asked questions about ZXLV and HIG
Which ETF has performed better year to date: ZXLV or HIG?
As of June 10, 2026, ZXLV has returned 1.57% year to date, while HIG has returned -6.20%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: ZXLV or HIG?
As of June 10, 2026, ZXLV manages $21.27 M in assets, while HIG manages $62.58 M. HIG is the larger fund by AUM.
How are ZXLV and HIG managed?
ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark. HIG is actively managed by Brompton Group. It does not track an index.
What sectors do ZXLV and HIG emphasize?
ZXLV is most exposed to Health Care. HIG is most exposed to Health Care and Consumer Discretionary.
Which ETF is attracting more investor flows: ZXLV or HIG?
Year to date, ZXLV has seen +$6.68 M in net flows, compared with +$8.07 M for HIG. HIG has attracted more net investor money so far.
How do the fees of ZXLV and HIG compare?
ZXLV has an expense ratio of 0.21%, while HIG has an expense ratio of 0.96%.
What are the top holdings of ZXLV and HIG?
ZXLV's largest holdings include LILLY, JOHNSON&JOHNSON, and ABBVIE. HIG's top holdings include JOHNSON&JOHNSON, LILLY, and GILEAD SCIENCES.
Which ETF is more diversified: ZXLV or HIG?
ZXLV holds 55 securities, while HIG holds 21. On holdings count, ZXLV is the more diversified portfolio.
Recent articles about ZXLV and HIG
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All content on the ETF Market Canada is for your general information use only, Cboe is not responsible for any use of content by you outside this scope. In particular, the content does not constitute any form of advice, recommendation, representation, endorsement or arrangement by Cboe and is not intended to be relied upon by users in making (or refraining from making) any specific investment or other decisions.


